Provider Demographics
NPI:1629394747
Name:RAVAL, RONAK NALINCHANDRA (MD)
Entity Type:Individual
Prefix:DR
First Name:RONAK
Middle Name:NALINCHANDRA
Last Name:RAVAL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:11234 ANDERSON ST RM 2532
Mailing Address - Street 2:
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354-2804
Mailing Address - Country:US
Mailing Address - Phone:909-558-4475
Mailing Address - Fax:909-558-0187
Practice Address - Street 1:11234 ANDERSON ST
Practice Address - Street 2:GME OFFICE CP 21005
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92354-2804
Practice Address - Country:US
Practice Address - Phone:408-806-4662
Practice Address - Fax:408-215-3861
Is Sole Proprietor?:No
Enumeration Date:2010-04-14
Last Update Date:2015-07-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA115471207LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine